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PU�LIC WORKS <br />PERMIT <br />PLI�LIC �I�ORKS OEP�RTh1EiNT <br />3200 Ced(u SVcal <br />Evere��. WA 98201 <br />� (425) 257�8810 . <br />1�f� P05`fING...MAR <br />OAVN6H NAf.ifi <br />ANUADDRESS +�'�� � �`-'TH �T <br />SEATTt.E <br />::nc��lis�a <br />PHONE'. <br />�-��ee......, -. .. <br />TAX PAPC[L 1 D. M <br />1�W 4-FLE): <br />r:isci�m nora or <br />i�roros: o �vor,�t <br />PERMIT CONDITIONS <br />Date <br />Public Works Pc�ma x <br />6uddmg Perm'I r <br />Plann�ng Re!�:n,�...,.,, - <br />Public Works F.��.� � <br />� <br />naPucnrar riria� <br />AND ADDRC-SS <br />Uh °6119 <br />PNC':1: <br />PROJi=CI ADGi;ES�. ' - �- `� "' "" <br />1_ All call5 for inspe�clion sh�dl bE� n,nd�� ?�� homs i�� advanee - phoi°�c i�t2ti� �5� �381L <br />�_ All work shell be pmtormed in acco�hnnce vnlh this pernut und currenl Cily of Eveiett Desc�n ��.r�.d Gon�truction <br />S�andards and Specitications. <br />3 Call Localion Underground Service 4d hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555 <br />,. As pe� app�oved plan datad 9--'-05 :+nd t:�e r:�i:i_ w-,rt:� :n�p_.ctec's di�e<<:_:. . <br />. ;eld . <br />�, Keep eity stceFt clean at all tim�s durima con�:.�u:�tion. <br />. Side�ewc �hall be a. �>ee city standacd plan �601, 1fti02 a Nb04. <br />. 7+ny b�oken �x damaned sidevalk shall be cepaiLed uc eeplaced aY the dic�.•c'__:; : <br />t;i� �ul�li� �eks in �,ectue. <br />.. �W�.�. .i.��.�.-f" ��:ilt t�^_' _iJ i•-, ^yi'.' _�311�yt.'� �iil �:�)H. - � <br />'� <br />ppprovetl <br />�n1 � �1— Z-�S <br />C,onsvuct�on . Date , <br />� <br />DdIC <br />ACI<NOWLEDGEFv1ENT OF CONDITIONS <br />: W <br />� <br />V! <br />W <br />O <br />Z <br />O <br />� <br />O <br />a <br />7he undersigned owner,apphcant hereby agrees to holA and <br />save harmless Ihe City ol Everefl irom any and all claims lor <br />damages. costs, expenses, or causes ot action that m�y arae <br />because ot mstallation and mainlenance of Ihe improvemeN o� <br />o�her righl�obway u5e hereto applied br and furlher agrecs to <br />remov � s@3me upon notic Irom �he CAy and to rep�acc pubhc <br />proper Ha��inged �herel . <br />�� ; `�_ �23—vS <br />S�n�}� � ot A��,� , D.vc <br />l'JORNAUiHGRIZED�VTHISPERl.il11 i:.. ' �' :'Itli :I.�'iticlf�iFfG(iHI11SI�SUtC1FDlHfIiLnlTFii1.570LEDIL�G[NTIVPUFSULJ <br />'..] CO!.4f1 !_710N THIS P!'_Nldlf tdA� L� ( dl�..l.l I I .' li'L �'11i i� t�.J nin �i� ��-�1GI CI hOHP ON11115 PHOJ[CT OVEF 70 UAYS Dl��/��ION <br />